INDICATIONS, DIAGNOSTIC YIELD AND COMPLICATIONS OF FLEXIBLE FIBEROPTIC BRONCHOSCOPY
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Keywords
Flexible fiberoptic bronchoscopies, respiratory disease, FFB
Abstract
Background: Flexible fiberoptic bronchoscopy (FFB), is a well-recognised diagnostic and therapeutic method used in the assessment of respiratory problems.
Objectives: The study aims to highlight common indications, diagnostic yield and complications related with FFB.
Methodology: This prospective descriptive cross-sectional study was performed in all patients that underwent flexible fiberoptic bronchoscopy at the Department of Pulmonology GMMMC hospital Sukkur. The study duration was six months from July 2022 to January 2023.
Results: The findings indicate that out of 200 bronchoscopies, 190 (95%) were done for diagnostic purposes and 10 (5%) for therapeutic ones. Out of 200 patients (73% males, 27% females) with a mean age of 55.2 ±10.1 years, and 80% of the patients were smokers. Suspected malignancy was the most common indication for flexible fiberoptic bronchoscopy (32.5%), followed by hemoptysis (30%).
Conclusions: This study showed that FFB has very little risk and is both safe and effective. This study demonstrated how FFB is used to diagnose lungs and respiratory airways issues.
References
2. Nicolai T. Pediatric bronchoscopy. Pediatr Pulmonol. 2001;31(2):150-64. [PubMed ID: 111 80692]. https://doi.org/10.1002/1099-0496(200102)31:2<150::aid-ppul1024>3.0.co;2-6.
3. Wood RE, Fink RJ. Applications of flexible fiberoptic bronchoscopes in infants and children. Chest.1978;73(5Suppl):737-40.[PubMed ID: 639589]. https://doi.org/10.1378/chest.73.5_supplement.737.
4. Webster I, Goussard P, Gie R, Janson J, Rossouw G. The indications and role of paediatric bronchoscopy in a developing country, with high prevalence of pulmonary tuberculosis and HIV. Expert Rev Respir Med. 2017;11(2):159-65. [PubMed ID: 28107788] . https://doi.org/10.1080/17476348.2017.1280397.
5. Vega-Briceno LE, Holmgren NL, Bertrand P, Rodriguez JI, Barriga F, Contreras I, et al. [Utility of bronchoalveolar lavage in immunocompromised children: Diagnostic yield and complications]. Arch Bronconeumol. 2004;40(12):570-4. Spanish. [PubMed ID: 15574271]. https://doi.org/10.1016/s1579-2129(06)60377-7.
6. Rosenthal M. Bronchoscopy and infection. Paediatr Respir Rev. 2003;4(2):143-6. https://doi.org/10.1016/s1526-0542(03)00025-3.
7. Rodriguez Martinez C, Sossa MP. [Factors associated with complications caused by bronchoscopy in pediatric patients]. Arch Bronconeumol. 2003;39(11):501-6. Spanish. [PubMed ID: 14588203]. https://doi.org/10.1016/s0300-2896(03)75440-4.
8. Schnapf BM. Oxygen desaturation during fiberoptic bronchoscopy in pediatric patients. Chest. 1991;99(3):591-4. [PubMed ID: 1995213]. https://doi.org/10.1378/chest.99.3.591.
9. Schellhase DE, Tamez JR, Menendez AA, Morris MG, Fowler GW, Lensing SY. High fever after flexible bronchoscopy and bronchoalveolar lavage in noncritically ill immunocompetent children. PediatrPulmonol. 1999;28(2):139-44. [PubMed ID: 10423314].
https://doi.org/10.1002/(sici)1099-0496(199908)28:2<139::aid-ppul10>3.0.co;2-2.
10. Pue CA, Pacht ER. Complications of fiberoptic bronchoscopy at a university hospital. Chest. 1995;107(2):430-2. [PubMed ID: 7842773]. https://doi.org/10.1378/chest.107.2.430.
11. Faguang J, Deguang M, Dongling C, Enqing F, Yonghong X, Tonggang L (2008). Severe Complications of Bronchoscopy. Respiration, 76:429–433
12. Sherif A.A., Mohamed M.A. and Metwally N (2013). Diagnostic utility and complications of flexible fiberoptic bronchoscopy in Assiut University Hospital: A 7-year experience.Egyptian Journal of Chest Diseases and Tuberculosis.62: 535–540.
13. Alzeer, A.H. and Al-Otair, M.S. (2008). Yield and complications of flexible fiberoptic bronchoscopy in a teaching hospital.Saudi Med. J, 29: 477–481.
14. Qanash S, Hakami O A, Al-Husayni F, (2020). Flexible Fiberoptic Bronchoscopy: Indications, Diagnostic Yield and Complications. Cureus 12(10): e11122.
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Jagdesh Kumar
Assistant Professor Department of Pulmonology GMMMC Sukkur
Shafi Muhammad khuhawar
Associate Professor, Head of department of pulmonology, GMMMC Sukkur
Bashir Ahmed Chandio
Assistant Professor of Medicine, Ghulam Muhammad Mahar Medical College Sukkur
Khalil Ahmed sanghro
Senior Registrar Department of Medicine GMMMC Sukkur
Ambrasha
Medical Officer at Hira medical center, Sukkur